• Manager Payment Integrity

    Corewell Health (Grand Rapids, MI)
    …These efforts will support the organization's cost containment efforts specific to medical claims payment and drive payment integrity performance. This position is ... Payment Integrity program. Organization strategy will be supported by coordinating with Medical Policy and Provider Relations teams to effectively plan and execute… more
    Corewell Health (07/18/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (MI)
    …of current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified ... Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist -Physician (CCS-P) or Registered Health Information Technologist… more
    Banner Health (06/15/25)
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  • Special Investigation Unit Analyst

    Corewell Health (Grand Rapids, MI)
    …may include research, interviews, data analysis, and substantive desk or onsite medical record review. Responsible for preparing case file, final report and ensuring ... data to detect fraudulent or abusive practices by utilizing system tools, interviews, medical records audits, data mining, perform compliance audits of medical more
    Corewell Health (08/08/25)
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  • Principal Compliance Investigator | Full Time

    Henry Ford Health System (Detroit, MI)
    … (CPC), Certified Professional Coder -Hospital (CPC-H), Certified Professional Coder -Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding ... prepares reports of findings and meets with providers and medical office staff to provide education and training on...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
    Henry Ford Health System (07/29/25)
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  • Coding Auditor Educator

    Highmark Health (Lansing, MI)
    …factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff ... Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional … more
    Highmark Health (08/08/25)
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  • Quality Senior Analyst

    CVS Health (Lansing, MI)
    …CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** CDEO ... **Position Summary** Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the submission to the… more
    CVS Health (08/08/25)
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  • Director, Risk Adjustment Prospective Operations…

    Corewell Health (Grand Rapids, MI)
    …the point of care.2. To partner with provider offices to obtain the right medical records at the right time and accurately document member disease burden after the ... point of care.3. Mitigate risk by identifying opportunities in the medical record for improvement and education.4. To completely and accurately submit encounter data… more
    Corewell Health (07/21/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Lansing, MI)
    …Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **To comply with HIPAA ... surveillance of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food… more
    Evolent (07/18/25)
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  • Coding Auditor Professional - Remote - McLaren…

    McLaren Health Care (Shelby Township, MI)
    …audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems, following ... results, tracking and trending of educational opportunities of the coding specialist and provides educational support and training. 6. Gathers, transfers, and… more
    McLaren Health Care (06/04/25)
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  • Coding Data Quality Auditor

    CVS Health (Lansing, MI)
    …to approximately 1-2 years for CPC. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist -Physician) required. **Preferred Qualifications** ... every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that… more
    CVS Health (08/09/25)
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